Both studies took issue with the quality of death reporting in Texas and nationwide. In the state-sponsored study, one of the major findings was "data quality issues" that make it difficult for researchers to identify a maternal or obstetric death.
Those researchers were reliant on a small sample of records provided by the Texas health department, and those were heavily redacted, the report notes. Also, the task force noted that maternal deaths are not investigated consistently in Texas, making data analysis difficult.
The task force also found "a lack of standardization" in how maternal deaths are reported to either medical examiner offices or the local justices of the peace. And when maternal deaths are reported, there were several instances, the task force found, in which pertinent laboratory tests were not performed.